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Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
Originator-Key-Asymmetric:
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 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 TwdjdSnDdLSdCB98+2qBOFVBI0Z53RC8GMFpl6u+8ZtcXPY5KpEOse18wGZPbhsm
 xQXhcEDTtaq5R3276YLsAw==

<SEC-DOCUMENT>0001179110-03-006085.txt : 20030821
<SEC-HEADER>0001179110-03-006085.hdr.sgml : 20030821
<ACCEPTANCE-DATETIME>20030821124836
ACCESSION NUMBER:		0001179110-03-006085
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20030819
FILED AS OF DATE:		20030821

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			HORSCH LAWRENCE L
		CENTRAL INDEX KEY:			0001190700

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-33295
		FILM NUMBER:		03859614

	MAIL ADDRESS:	
		STREET 1:		C/O BOSTON SCIENTIFIC CORP
		STREET 2:		ONE BOSTON SCIENTIFIC PL
		CITY:			NATICK
		STATE:			MA
		ZIP:			017601537

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			MEDICALCV INC
		CENTRAL INDEX KEY:			0001144284
		STANDARD INDUSTRIAL CLASSIFICATION:	ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
		IRS NUMBER:				411717208
		STATE OF INCORPORATION:			MN
		FISCAL YEAR END:			0430

	BUSINESS ADDRESS:	
		STREET 1:		9725 SOUTH ROBERT TRAIL
		CITY:			INVER GROVE HEIGHTS
		STATE:			MN
		ZIP:			55077
		BUSINESS PHONE:		6514523000

	MAIL ADDRESS:	
		STREET 1:		9725 SOUTH ROBERT TRAIL
		CITY:			INVER GROVE HEIGHTS
		STATE:			MN
		ZIP:			55077
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>edgar.xml
<DESCRIPTION>FORM 4 -
<TEXT>
<XML>
<ownershipDocument>
    <schemaVersion>X0201</schemaVersion>

    <documentType>4</documentType>
<periodOfReport>2003-08-19</periodOfReport>
<notSubjectToSection16>0</notSubjectToSection16>
    <issuer>
        <issuerCik>0001144284</issuerCik>
        <issuerName>MEDICALCV INC</issuerName>
        <issuerTradingSymbol>MDCVU</issuerTradingSymbol>
</issuer>
<reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001190700</rptOwnerCik>
            <rptOwnerName>HORSCH LAWRENCE L</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>1404 HILLTOP RIDGE</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>HOULTON</rptOwnerCity>
            <rptOwnerState>WI</rptOwnerState>
            <rptOwnerZipCode>54082</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
            <reportingOwnerRelationship>
<isDirector>1</isDirector>
<isOfficer>0</isOfficer>
<isTenPercentOwner>0</isTenPercentOwner>
<isOther>0</isOther>
<officerTitle></officerTitle>
<otherText></otherText>
</reportingOwnerRelationship>
</reportingOwner>
<nonDerivativeTable></nonDerivativeTable>
<derivativeTable><derivativeTransaction><securityTitle><value>Option to purchase Common Stock</value>
<footnoteId id="F1"></footnoteId>
</securityTitle>
<conversionOrExercisePrice><value>0.70</value>
</conversionOrExercisePrice>
<transactionDate><value>2003-08-19</value>
</transactionDate>
<transactionCoding><transactionFormType>4</transactionFormType>
<transactionCode>A</transactionCode>
<equitySwapInvolved>0</equitySwapInvolved>
</transactionCoding>
<transactionAmounts><transactionShares><value>100000</value>
</transactionShares>
<transactionPricePerShare><value>0</value>
</transactionPricePerShare>
<transactionAcquiredDisposedCode><value>A</value>
</transactionAcquiredDisposedCode>
</transactionAmounts>
<exerciseDate><value>2007-08-19</value>
<footnoteId id="F2"></footnoteId>
</exerciseDate>
<expirationDate><value>2013-08-19</value>
</expirationDate>
<underlyingSecurity><underlyingSecurityTitle><value>Common Stock</value>
</underlyingSecurityTitle>
<underlyingSecurityShares><value>100000</value>
</underlyingSecurityShares>
</underlyingSecurity>
<postTransactionAmounts><sharesOwnedFollowingTransaction><value>100000</value>
</sharesOwnedFollowingTransaction>
</postTransactionAmounts>
<ownershipNature><directOrIndirectOwnership><value>D</value>
</directOrIndirectOwnership>
</ownershipNature>
</derivativeTransaction>
</derivativeTable>
<footnotes><footnote id="F1">Granted pursuant to the Company's 2001 Equity Incentive Plan, which meets the requirements of Rule 16b-3.</footnote>
<footnote id="F2">This option shall vest in full on August 19, 2007. This vesting may be accelerated to the extent of one-third of the shares purchasable under the option upon the occurrence of each of three performance measures: 1) the Company completes the sale of $6.0 million of debt or equity financing between August 19, 2003 and January 31, 2004; 2) the board of directors of the Company determines in good faith that any new product under development as of August 19, 2003 is authorized to move to the next phase of development on or before August 19, 2004; and 3) the bid price of the common stock of the Company exeeds $1.50 for at least ten consecutive trading days between August 19, 2003 and August 19, 2004.</footnote>
</footnotes>
<ownerSignature><signatureName>/s/ Traci Christensen, Attorney-in-fact</signatureName>
<signatureDate>2003-08-21</signatureDate>
</ownerSignature>
</ownershipDocument>

</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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